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Organization

LIMA UROLOGY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RUSSELL J TAYLOR MD (OWNER)
(419) 228-8950
Entity
Organization

Contact information

Practice address
770 WEST HIGH STREET, SUIT 350, LIMA, OH 45801-5901
(419) 228-8950
(419) 224-7904
Mailing address
770 WEST HIGH STREET, SUIT 350, LIMA, OH 45801-5901
(419) 228-8950
(419) 224-7904

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2206759
OH
01
CB3829
RAILROAD MEDICARE
OH
Enumeration date
05/25/2007
Last updated
04/01/2008
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